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Chair Massage Consent Form
"I need a Chair Massage Consent Form for my new corporate wellness program launching in March 2025, which will be offering 15-minute chair massages to employees in our Kuala Lumpur office, with specific emphasis on COVID-19 screening and corporate liability protection."
1. Client Information: Personal details including name, contact information, and emergency contact
2. Health History: Medical conditions, injuries, medications, and contraindications that could affect massage therapy
3. Service Description: Brief description of chair massage service, duration, and areas to be treated
4. Risks and Benefits: Overview of potential benefits and risks associated with chair massage
5. Client Acknowledgment: Client's confirmation of accurate information provision and understanding of risks
6. Liability Waiver: Release of liability for standard risks associated with massage therapy
7. Privacy Statement: How personal and health information will be collected, used, and protected
8. Consent Declaration: Formal statement of consent and client signature section
1. Pregnancy Declaration: Additional section for female clients to declare pregnancy status and trimester
2. COVID-19 Screening: Health screening questions specific to COVID-19 risk factors and exposure
3. Photo/Video Consent: Optional consent for taking photographs or videos for treatment documentation or marketing
4. Corporate Program Details: Additional section for corporate wellness program participants
5. Payment Information: Section for billing details if payment is required and not handled separately
1. Body Chart: Diagram for marking areas of concern or areas to avoid
2. Service Menu: List of available massage techniques and duration options
3. Medical Conditions List: Comprehensive checklist of relevant medical conditions and contraindications
4. Practitioner Qualifications: Details of massage therapist certifications and qualifications
Authors
Therapist
Client
Consent
Personal Data
Medical Information
Treatment Area
Contraindication
Therapeutic Relationship
Identity Card
Service Provider
Treatment Session
Medical Condition
Emergency Contact
Privacy Notice
Therapeutic Techniques
Health History
Liability Release
Treatment Record
Confidential Information
Health Declaration
Service Description
Risk Acknowledgment
Liability Waiver
Data Protection
Consent Declaration
Emergency Procedures
Confidentiality
Payment Terms
Cancellation Policy
Health and Safety
Professional Conduct
Client Rights
Service Provider Obligations
Medical Disclosure
Privacy Notice
Documentation Consent
Healthcare
Wellness and Spa
Corporate Services
Human Resources
Occupational Health
Alternative Medicine
Hospitality
Sports and Recreation
Human Resources
Occupational Health
Wellness and Benefits
Legal and Compliance
Risk Management
Employee Experience
Operations
Health and Safety
Massage Therapist
Wellness Coordinator
Occupational Health Nurse
HR Manager
Corporate Wellness Manager
Spa Manager
Healthcare Administrator
Risk Management Officer
Compliance Officer
Employee Benefits Coordinator
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